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Table 5 Relationship between staff profile and the performance of health districts, eastern DR Congo (univariate and multivariate analysis), years 2017–2019

From: Profile of health care workers in a context of instability: a cross-sectional study of four rural health zones in eastern DR Congo (lessons learned)

Variables

HD with poor performance

HD with Good performance

Unadjusted OR (IC à 95%)

P

Adjusted OR (IC à 95%)

P

Age (years)

 ≤ 34

108

169

1

 

1

 

 > 34

361

422

1.3 (1.01–1.77)

0.040

1.6 (0.5–1.9)

0.066

Gender

 Male

334

403

1.3 (0.9–1.7)

0.063

1.1 (0.7–1.6)

0.120

 Female

134

207

1

 

1

 

Level of education

 < Superior

298

303

1.6 (1.3–2.1)

 < 0.001

1.8 (1.3–2.4)

 < 0.001

 Superior

179

301

1

 

1

 

 Facilities

 HDCO

26

26

1.4 (0.8–2.6)

0.211

1.2 (0.1–4.1)

0.099

 Hospital (RH + HC)

152

220

1

 

1

 

 Health center

287

362

1.1 (0.9–1.5)

0.296

1.2 (0.4–1.9)

0.390

Status of the facilities

 Public

348

336

1.6 (1.3–2.1)

 < 0.001

2.1 (1.1–3.2)

0.021

 Private

141

223

1

 

1

 

Marital status

 Living alone

82

107

1.0 (0.8–1.4)

0.768

  

 As a couple

388

531

1

   

Seniority (years)

 ≤ 4

126

163

1

 

1

 

 > 4

327

431

0.9 (0.7–1.3)

0.893

0.6 (0.4–1.9)

0.690

Family residence

 In the working area

414

539

1

   

 Out of working area

58

68

1.1 (0.8–1.6)

0.582

  

Position in the facilities

 Administrative officer

273

298

1.4 (1.1–1.8)

0.005

1.7 (0.8–2.1)

0.063

 Medical doctor and nurse

200

309

1

 

1

 

Rank*

 Category c

201

216

1.3 (1.03–1.7)

0.044

1.5 (0.9–2.1)

0.055

 Category d

263

365

1

 

1

 

Status in public service

 Registered state agent

155

236

1

 

1

 

 No-registered state agent

319

356

1.4 (1.1–1.8)

0.015

1.1 (0.8–2.2)

0.079

Recruitment authority

 Central and intermediate level

319

310

1

 

1

 

 Other

158

284

0.5 (0.4–0.7)

 < 0.001

0.8 (0.6–1.1)

0.059

Recruitment process

 Job application

160

331

1

   

 Other

317

271

2.4 (1.9–3.1)

 < 0.001

2.2 (1.8–4.1)

 < 0.001

Continuing education

 Have continuing education

174

279

1

   

 Do not have continuing education

312

301

1.7 (1.3–2.1)

 < 0.001

1.9 (1.2–2.6)

 < 0.001

Promotion since enlistment

 Yes

160

162

1

 

1

 

 No

336

421

0.8 (0.6–1.0)

0.110

1.1 (0.9–1.5)

0.212

Receive state salary

 Yes

21

29

1

   

 No

473

549

1.2 (0.7–2.1)

0.553

  

Receive local bonus

 Yes

378

577

1

   

 No

113

13

13.3 (7.4–23.9)

< 0.001

6.1 (4.2–20.1)

< 0.001

Receive the government bonus

 Receive

261

112

1

   

 Do not receive

211

495

0.8 (0.6–1.0)

0.058

  
  1. RH referral hospital, HC hospital center, HDCO Health District Central Office, n (%) number (percentage), HD health zone, UOR unadjusted odds ratio, AOR adjusted odds ratio